Surgical Lip Remodeling After Injection of Permanent Filler

Rauso, Raffaele; Califano, Luigi; Rugge, Luigi; Chirico, Fabrizio; Tartaro, Gianpaolo

doi:10.1093/asj/sjy258

Cited by 7 publications

(19 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Soft tissue augmentation with fillers has become increasingly popular for restoration of facial folds,wrinkles,volume and contour.Several non-biodegradable fillers,as silicone oil, polyacrylamide hydrogel, polymethylmethacrylate(PMMA), have been introduced in order to get long lasting results 1 .The main reason for patients asking permanent fillers instead of resorbable ones,as hyaluronic acid(HA), is related to the willingness to avoid repeated injections, although it has been clearly shown in literature that the only fillers than can be reversed by the use of an antidote are the HA-based ones 1,2 .Even though some studies have indicated permanent fillers as well tolerated with desirable aesthetic results and few complications,conversely many case reports have shown numerous adverse events 3 .Erythema,edema,bruising,infection,hypersensitivity,discoloration, vascular occlusion can be detected with all type of fillers as HA, calcium hydroxyapatite(CaHA), PMMA, poly-L-lactic acid(PLLA), however a feature not often considered and underestimated related to permanent substances, is the unpleasant appearance that may be achieved after some years after implantation 4,5 .Aging process modify facial anatomy,skeleton resorption and fat pads atrophy induces progressive tissue ptosis. For the same reason,also a permanent filler injected with transitory good result, years after implantation may induce a worsening of facial appearance during the aging process,creating a drooping/bulging effect 5,6 .…”

Section: Introductionmentioning

confidence: 99%

“…For the same reason,also a permanent filler injected with transitory good result, years after implantation may induce a worsening of facial appearance during the aging process,creating a drooping/bulging effect 5,6 . In addition to the aging process of facial structures, permanent fillers may also develop delayed complications such as migration,granuloma, lumps and/or abscesses 3,5 .For these reasons, many patients are not satisfied with the long-term results following non-resorbable filler injections and years after implantation request removal of the products 3,5,[7][8][9][10][11] .The use of permanent fillers is totally or partially forbidden in some European countries such as Netherland and Poland, especially for the challenge to face their surgical removal 12 .Several non-surgical managements have been introduced to treat permanent filler…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Aesthetic Surgical Pathway in Permanent Facial Filler Removal

Pascali

Chirico

Rugge³

et al. 2023

Facial Plast Surg

Self Cite

View full text Add to dashboard Cite

Although permanent fillers have been introduced in order to get long lasting results, many studies have shown numerous severe and disfiguring complications. Non-surgical procedures may mitigate those adverse events but the only way to remove the filler previously injected is represented by surgical excision. We present a pathway of facial surgical accesses to be performed achieving two goals: permanent filler removal and restore facial aesthetic balance. The proposed surgical accesses are already standardized in aesthetic surgical practice in order to avoid direct excision and unpleasant facial scar. 231 patients underwent surgery for permanent filler removal and aesthetic restoration of the involved facial area, represented by forehead, glabella, nose, cheeks, eyelids, chin, jawline and lips. Magnetic resonance evaluation was performed with the exception of lip patients evaluated with ultrasound. Postoperative follow-up was 12months to 6years. Subjective and objective methods were used to outcome evaluation according to FACE-Q questionnaire. Functional and aesthetic correction was scored using the patient-graded Global Aesthetic Improvement Scale(GAIS), overall patient satisfaction was assessed by a five-point scale questionnaire. Functional and aesthetic restoration was globally recognized as improved according to the Global Aesthetic Improvement Scale. Patients reported high levels of satisfaction assessed by a five-point scale questionnaire. A very good satisfaction level was registered in both subjective and objective judgment scores. To the best of our knowledge, we present the largest case series regarding surgical removal of permeant facial fillers. A proper pre-operative evaluation, filler removal followed by restorative facial aesthetic surgery technique is paramount to approach challenging cases.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Aesthetic Surgical Pathway in Permanent Facial Filler Removal

Pascali

Chirico

Rugge³

et al. 2023

Facial Plast Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, lip incompetence may cause significant changes in lip appearance and may deeply impact patient self-image and quality of life. Several techniques have already been described to correct lip defects [107]. Schweiger et al [108] reported the use of HA fillers for lip asymmetry correction in cleft lip surgery sequelae.…”

Section: Discussionmentioning

confidence: 99%

Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

Chirico¹,

Colella

Cortese

et al. 2021

Applied Sciences

Self Cite

View full text Add to dashboard Cite

The use of hyaluronic acid (HA) injectable fillers has become increasingly widespread in facial recontouring and rejuvenation. We report our experiences to emphasize the role of HA fillers as tools beyond aesthetic treatments in cases of post-surgical facial sequelae. HA fillers are generally used for aesthetic rejuvenation, but one potential new horizon could be their application in trauma, reconstructive, and craniofacial surgery. This study was conducted retrospectively, evaluating medical reports of patients treated at the Maxillofacial Surgery Unit, University of Campania “Luigi Vanvitelli”, Naples, for lip incompetence, trauma, oncological, reconstructive, and craniosynostosis surgery sequelae. Visual analog scale (VAS) evaluation was performed to assess patient satisfaction. No major complications (i.e., impending necrosis or visual loss) were reported. Bruising and swelling was reported for 48 h after lip injection. At the immediate VAS evaluation, 67% of the patients were “extremely satisfied” and 33% “satisfied”. In those 33%, VAS scores changed to “extremely satisfied” at 6–9 weeks and 3–6 months of VAS evaluation (contextually to improvement in tissue flexibility, elasticity, and aesthetic appearance). Results indicate that this minimally invasive approach achieves a high level of aesthetic enhancement, improving patient satisfaction. The concept of HA filler applications could be a frontier that may be applicable to other areas of reconstructive facial plastic surgery.

show abstract

“…Sometimes a labial incompetence develops after lips implant removal. 35 Rauso et al 36 reported about HA filler injections to correct lip deformities following the removal of permanent implants. The authors achieved labial competence at rest and a favorable esthetic outcome.…”

Section: Injectable Fillers To Correct Lip Deformities Following Sumentioning

confidence: 99%

“…Removal of this material need a surgical approach. Sometimes a labial incompetence develops after lips implant removal 35 …”

Section: Injectable Fillers To Correct Lip Deformities Following Surgerymentioning

confidence: 99%

Lip enhancement and mouth corner lift with fillers and botulinum toxin A

Wollina

Goldman

2020

Dermatologic Therapy

View full text Add to dashboard Cite

Beautiful lips are responsible for facial attractiveness and a youthful appearance. During aging process, lips become thinner and the red lips borders get poor defined. Downturn of the corners of the mouth suggests negative emotions. Lip surgery and underlying pathology may result in asymmetries and lip incontinence. Minor invasive procedures with hyaluronic acid fillers and botulinum toxin A are versatile tools to improve appearance of the lips, restore function and improve psycho-social wellbeing. In this review, we discuss anatomy, safety concerns, injections techniques as well as esthetic and medical indications.

show abstract

Surgical Lip Remodeling After Injection of Permanent Filler

Cited by 7 publications

References 11 publications

Aesthetic Surgical Pathway in Permanent Facial Filler Removal

Aesthetic Surgical Pathway in Permanent Facial Filler Removal

Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

Lip enhancement and mouth corner lift with fillers and botulinum toxin A

Contact Info

Product

Resources

About